In:
Pediatric Blood & Cancer, Wiley, Vol. 70, No. 2 ( 2023-02)
Abstract:
To evaluate the short‐term effectiveness of a personalized survivorship care plan (SCP) in improving cancer‐related literacy among childhood cancer survivors, and to identify characteristics of survivors who demonstrated minimal gain from the intervention. Methods We recruited survivors diagnosed with cancer at ≤18 years old and were 〉 2 years post treatment. The intervention included a personalized SCP and 30‐minute health risk counseling. The participants’ knowledge of their cancer diagnosis and potential treatment‐related late effects (LEs) was assessed at baseline, immediately post intervention, and 1–3 months post intervention. Generalized estimating equation was used to test for changes in the awareness scores, with interacting terms (time*factor) added to identify differences in the score trajectory across clinically relevant subgroups. Results In total, 248 survivors completed the intervention (mean age: 19.4 [SD = 6.7] years; 54.1% male; 66.1% hematological malignancies), of whom 162 completed all assessments. There was significant increase in survivors’ awareness of their cancer diagnoses (mean adjusted score: baseline 66.9, post intervention 86.3; p 〈 .001) and potential LEs (baseline 30.9, post intervention 66.3; p 〈 .001). The proportion of survivors who demonstrated awareness of their potential LEs increased from 9.7% to 54.3%. The interaction analysis showed that there was significantly less improvement in awareness among survivors of non‐central nervous system (non‐CNS) solid tumors ( p = .032), lower socioeconomic status ( p = .014), and parents of pediatric survivors (vs. adult survivors; p = .013). Conclusions The provision of a personalized SCP showed preliminary effectiveness in improving survivors’ understanding of their treatment‐related LEs. Health counseling with SCP should be reinforced in vulnerable subgroups. Future work includes evaluating its long‐term impact on lifestyle and health outcomes.
Type of Medium:
Online Resource
ISSN:
1545-5009
,
1545-5017
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2130978-4
